Preoperative coagulation abnormalities as a risk factor for adverse events after pancreas surgery

Abstract

Prolonged bleeding times (high INR/PTT) is associated with increased mortality and adverse outcomes after pancreas surgery. A patient's coagulation profile may serve as a risk stratification tool to identify higher risk patients that require more resources.

Risk of venous thromboembolism in patients with elevated INR undergoing hepatectomy: an analysis of the American college of surgeons national surgical quality improvement program registry

“…This likely reflects baseline differences in patients with elevated preoperative INR, including higher incidence of comorbidities and higher ASA class, and has also been observed in patients undergoing pancreas surgery. 40,13 Our study should be interpreted in light of certain limitations. First, it suffers the limitations inherent to retrospective analyses.…”